Organization
RICKY TUBBS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY BRIAN TUBBS D.O. (PHYSICIAN)
(256) 368-1509
Entity
Organization
Contact information
Practice address
613 MARTIN ST N, SUITE 300, PELL CITY, AL 35125-1333
(256) 368-1509
Mailing address
1122 SHADY LANE CIR, TALLADEGA, AL 35160-2941
(256) 640-0416
(256) 268-7152
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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